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Continuity of Care Document
CCDclinical
Updated 5/16/2026
Definition
A standardized HL7 CDA XML document used to exchange patient health summaries across EHR systems during care transitions. Data engineers ingest CCD files to populate longitudinal patient records, support interoperability pipelines, and enable clinical data reconciliation across disparate health systems.
Standard Abbreviation
CCD
Category
clinical
Database Usage
-- Example column naming
CREATE TABLE claims (
clm_id VARCHAR(50),
ccd VARCHAR(100), -- Continuity of Care Document (max 100 chars)
...
);
-- Example in SELECT
SELECT
clm_id,
ccd as continuity_of_care_document
FROM claims;Common uses in healthcare data
- Risk stratification and population health analytics
- CMS-HCC risk adjustment and RAF score calculation
- Quality measure attribution and HEDIS reporting
- Clinical data warehouse schema design
- Value-based care contract performance tracking
Example database column name
ISO-11179 snake_case standard
-- Recommended column name
ccd
-- Example DDL
CREATE TABLE healthcare_data (
record_id VARCHAR(50) NOT NULL,
ccd VARCHAR(100), -- Continuity of Care Document (max 100 chars)
created_dt TIMESTAMP NOT NULL DEFAULT NOW()
);Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.
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